Treatment of War Wounds to the Extremities


Predrag Grubor, PhD
University Medical School Banja Luka, Bosnia

Series: Medical Procedures, Testing and Technology
BISAC: MED015000

Firearm injuries are considered to be a “privilege” of treatment by military surgeons. It is difficult to find one book that includes all of the knowledge about injuries of the locomotor system caused by firearms, and the treatments of these injuries. This book presents the author’s experiences in treating more than 5,000 wounded people in the last war in Bosnia and Herzegovina. Authentic images of injuries by firearms and the results of treatment are provided for better understanding of the wounds. The key to success in the treatment of these injuries is the primary surgical treatment of wounds. This includes “sterilizing wounds”, stabilizing of broken bone with or without bone defect, treatment of nerves, and blood vessels and open joints. As a measure for stabilization of open fractures, an external fixator was used for over 85% in the war in former Yugoslavia.

The author presents in detail his vast experience in treatment of open fractures, peace or war trauma of skin, fat, muscle, bone and open joints. He uses a clear indication of treatment in order to reach complete recovery, or less degree of invalidity. He gives a detailed presentation of when and which methods of treatments should be used to treat bone defects, osteomyelitis, delayed healing, pseudoarthrosis and open joints. The author shows that he achieves a positive clinical outcome, shorter hospital stay and reduced treatment by using these techniques and methods. This book provides instructions on how to treat the most complex open fractures of the locomotor system as to prevent complications and speed up rehabilitation, which is the most valuable to surgeons and should be available in every hospital, at any time, especially when we have in mind the global fight against terrorism. (Imprint: Nova)

Table of Contents

Table of Contents


Chapter 1 – History of the War Wound Treatment (pp. 1-8)

Chapter 2 – Missile Ballistics (pp. 9-14)

Chapter 3 – Morphology of the War Wound (pp. 15-20)

Chapter 4 – Treatment of Open Wounds to the Limbs (pp. 21-26)

Chapter 5 – Classification of Open Fractures in War Wounds (pp. 27-28)

Chapter 6 – Classification of Open Fractures in Peacetime Wounds (pp. 29-32)

Chapter 7 – Factors Influencing Osteogenesis in War Wounds and Peacetime Wounds (pp. 33-44)

Chapter 8 – Radiological Assessment of Bone Callus (pp. 45-50)

Chapter 9 – Stabilization of Bone Fragments in War – and Peacetime Trauma (pp. 51-72)

Chapter 10 – External Fixation (pp. 73-82)

Chapter 11 – Mitkovic Fixator – M20 (pp. 83-136)

Chapter 12 – Late Complications of Open Fractures (pp. 137-156)

Chapter 13 – Nonunions and Distraction Osteogenesis (pp. 157-160)

Chapter 14 – Bone Defect (pp. 161-168)

Chapter 15 – Autogenous Bone Grafting Introduction (pp. 169-178)

Chapter 16 – Types of Autogenous Bone Grafts (pp. 179-188)

Chapter 17 – Anatomical Areas of Donor Sites and Technique for Harvesting Cortical-Cancellous Graft (pp. 189-196)

Chapter 18 – Early Autogenous Bone Grafting in Bone Defects (pp. 197-204)

Chapter 19 – Vascular Bone Autografts (pp. 205-208)

Chapter 20 – Advantages of Vascularized Autografts in Comparison to Other Autogenous Grafts (pp. 209-216)



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